不同内固定方案对高龄股骨转子间骨折患者日常生活能力及运动功能的影响

doi:10.3969/j.issn.1671-7171.2018.05.019

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Abstract 【Objective】To compare the effects of different internal fixation schemes on the activities of daily living and motor function in elderly patients with intertrochanteric fractures to provide references for the selection of internal fixations. 【Methods】 A total of 195 cases of elderly intertrochanteric femoral fractures in our hospital from March 2014 ~2017 February were collected for the study. Patients were divided into three groups: Proximal Femoral Nail Anti-rotation, (PFNA) group, Dynamic Hip Screw (DHS) group, and Locking Proximal Femoral Plate (LPFP), with 65 cases in each group. The operation, recovery, complications, Barthel index (activities of daily living) and motor function of three groups were compared. The advantages and disadvantages of the three internal fixation schemes were summarized, and the clinical treatment ideas were discussed. 【Results】 In group PFNA, intraoperative blood loss and fracture healing time were lower than those in group DHS and group LPFP. The amount of bleeding and operative time in the LPFP group were lower than those in the DHS group, and the fracture healing time in the PFNA group was higher than that in the DHS.group. All these differences between groups were statistically significant (P<0.05). The incidence of postoperative complications in the PFNA group was 4.62%, which was lower than that in the DHS group (7.69%) and the LPFP group (15.38%); the differences between groups were statistically significant (P<0.05).All patients were followed up with for one year. Barthel index at 6 to 12 months after surgery in three groups were higher than that before operation. The Barthel index at 6 to 12 months after surgery was higher in the PFNA group than in the DHS group and LPFP group. The clinical excellent rate of the PFNA group was higher than that of the DHS group at 1 year after surgery. The clinical and excellent rate of the DHS group was higher than that of the LPFP group. The difference between groups was statistically significant (P<0.05).【Conclusion】The efficacy and safety of PFNA in the treatment of elderly patients with femoral intertrochanteric fractures are the most ideal, and PFNA can also effectively improve the activities of daily living and promote the recovery of motor function. It is worthy of clinical promotion.

Key words： FemoralFractures FractureFixation,Internal/MT ActivitiesofDailyLiving MotorActivity

Received: 12 March 2018

PACS:

R683.421

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	Articles by authors
	GAI Wei
	GONG Zi-shun
	ZHU Dong-bo
	et al

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GAI Wei,GONG Zi-shun,ZHU Dong-bo, et al. Influence of Different Internal Fixations on the Activities of Daily Living and Motor Function in Elderly Patients with Intertrochanteric Fractures[J]. JOURNAL OF CLINICAL RESEARCH, 2018, 35(5): 893-896.

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http://www.jcr.net.cn/EN/10.3969/j.issn.1671-7171.2018.05.019 OR http://www.jcr.net.cn/EN/Y2018/V35/I5/893

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